RADV Analyst

Job Summary

A company is looking for a Sr Business Analyst to support Medicare Risk Adjustment Data Validation projects.

Key Responsibilities

• Conduct outreach to non-participating providers and manage RADV contracts
• Oversee chart retrieval and coding review, ensuring timely submissions to CMS
• Create and audit RADV packets while managing multiple data platforms

Required Qualifications

• Experience in healthcare or RADV projects
• Ability to work independently and manage multiple projects
• Strong organizational skills for operational management
• U.S. residency and a dedicated private work area for confidentiality
• Secure handling of sensitive documentation